Active NPI
Alliance Dental Specialties of Manahawkin
- Orthodontics and Dentofacial Orthopedics Dentistry
- Manahawkin, NJ
National Provider Identifier
1790029031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 16514
- Legal business name
- ALLIANCE DENTAL SPECIALTIES OF MANAHAWKIN
- Practice address
- 1301 Route 72 East
Suite 220
Manahawkin, NJ 08050-2483 - Phone
- (609) 978-6400
- Fax
- (732) 842-5910
- NPI assigned
- Nov 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Frattellone, DMD
- Title
- Owner
- Phone
- (732) 842-5915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 16514 | NJ | Primary |
Addresses
Primary practice location
1301 Route 72 East
Suite 220
Manahawkin, NJ 08050-2483
Mailing address
515 Newman Springs Rd
Lincroft, NJ 07738-1426
Phone (732) 842-5915
National Provider Directory
National Provider DirectoryLocations
515 Newman Springs Rd
Lincroft, NJ 07738
Phone (732) 842-5915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353888000000",
"number": "1790029031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 NEWMAN SPRINGS RD",
"city": "LINCROFT",
"state": "NJ",
"postal_code": "077381426",
"telephone_number": "732-842-5915",
"fax_number": "732-842-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 ROUTE 72 EAST",
"address_2": "SUITE 220",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502483",
"telephone_number": "609-978-6400",
"fax_number": "732-842-5910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE DENTAL SPECIALTIES OF MANAHAWKIN",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A",
"authorized_official_last_name": "FRATTELLONE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-842-5915",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "16514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.